Table 1, Panel B.
Characteristics of monotherapy new users of meglitinides and thiazolidinediones vs. metformin
metformin N=489,979 |
nateglinide N=8,129 |
repaglinide N=10,107 |
pioglitazone N=62,775 |
rosiglitazone N=44,543 |
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Person-years of follow-up | 122,694 | 1,721 | 2,168 | 15,594 | 10,774 | |||||||||
Outcomes within 180 days of cohort entry | 1,557 | 42 | 100 | 212 | 158 | |||||||||
Average daily dose (milligrams/day) | Median (Q1–Q3) | 1,000 (1,000–2000) | 360 (186–360) | 3.0 (1.5–6.0) | 30.0 (15.0–45.0) | 4.1 (4.0–8.0) | ||||||||
Mode | 1000 | 360 | 6.0 | 30.0 | 8.0 | |||||||||
Demographics | Group | %* | %* | SMD | WCSD | %* | SMD | WCSD | %* | SMD | WCSD | %* | SMD | WCSD |
Age at cohort entry, continuous, in years** | Median (Q1–Q3) | 55.6 (43.7–68.5) | 68.9 (56.0–78.4) | 0.67 | 0.26 | 70.2 (58.1–79.5) | 0.75 | 0.31 | 64.8 (51.3–74.6) | 0.43 | 0.18 | 65.7 (52.1–75.2) | 0.47 | 0.21 |
Sex** | Female | 65.7 | 64.7 | 0.02 | 0.14 | 65.0 | 0.02 | 0.18 | 62.1 | 0.08 | 0.07 | 63.4 | 0.05 | 0.09 |
Race** | White | 39.4 | 47.2 | 0.16 | 0.28 | 44.8 | 0.11 | 0.28 | 38.6 | 0.02 | 0.13 | 40.5 | 0.02 | 0.16 |
Black | 16.4 | 12.4 | 0.12 | 0.14 | 15.8 | 0.02 | 0.18 | 15.1 | 0.04 | 0.08 | 15.6 | 0.02 | 0.09 | |
Hispanic/Latino | 21.2 | 15.3 | 0.15 | 0.17 | 13.5 | 0.20 | 0.21 | 21.4 | 0.00 | 0.12 | 18.6 | 0.07 | 0.11 | |
Other/Unknown | 23.0 | 25.2 | 0.05 | 0.21 | 25.9 | 0.07 | 0.20 | 25.0 | 0.05 | 0.13 | 25.4 | 0.06 | 0.10 | |
State of residence** | CA | 43.0 | 44.8 | 0.04 | 0.03 | 32.7 | 0.21 | 0.07 | 51.5 | 0.17 | 0.02 | 40.7 | 0.05 | 0.02 |
FL | 11.2 | 12.2 | 0.03 | 0.09 | 13.5 | 0.07 | 0.16 | 12.4 | 0.04 | 0.04 | 16.9 | 0.16 | 0.05 | |
NY | 29.5 | 24.8 | 0.11 | 0.21 | 30.0 | 0.01 | 0.27 | 20.7 | 0.20 | 0.10 | 26.5 | 0.07 | 0.14 | |
OH | 9.2 | 10.3 | 0.04 | 0.15 | 5.1 | 0.16 | 0.11 | 9.4 | 0.01 | 0.05 | 8.0 | 0.04 | 0.04 | |
PA | 7.1 | 7.8 | 0.03 | 0.05 | 18.6 | 0.35 | 0.13 | 6.0 | 0.05 | 0.02 | 7.9 | 0.03 | 0.02 | |
Calendar year of cohort entry† | 1999–2001 | 10.8 | 12.1 | 0.04 | 0.15 | 30.0 | 0.49 | 0.64 | 11.9 | 0.03 | 0.06 | 19.3 | 0.24 | 0.21 |
2002 | 5.6 | 15.9 | 0.34 | 0.39 | 9.8 | 0.16 | 0.15 | 8.0 | 0.09 | 0.08 | 11.8 | 0.22 | 0.21 | |
2003 | 6.4 | 12.1 | 0.20 | 0.21 | 8.0 | 0.06 | 0.06 | 9.8 | 0.12 | 0.11 | 12.6 | 0.21 | 0.22 | |
2004 | 6.7 | 10.3 | 0.13 | 0.13 | 6.6 | 0.00 | 0.03 | 9.7 | 0.11 | 0.10 | 11.9 | 0.18 | 0.20 | |
2005 | 8.8 | 14.5 | 0.18 | 0.18 | 5.9 | 0.11 | 0.09 | 13.2 | 0.14 | 0.15 | 13.5 | 0.15 | 0.17 | |
2006 | 12.6 | 14.0 | 0.04 | 0.05 | 14.4 | 0.05 | 0.08 | 15.2 | 0.07 | 0.07 | 19.8 | 0.20 | 0.15 | |
2007 | 10.3 | 8.2 | 0.07 | 0.12 | 7.7 | 0.09 | 0.14 | 9.4 | 0.03 | 0.04 | 6.8 | 0.12 | 0.14 | |
2008 | 10.4 | 5.7 | 0.17 | 0.24 | 7.2 | 0.11 | 0.19 | 7.7 | 0.09 | 0.12 | 1.9 | 0.36 | 0.36 | |
2009 | 13.2 | 3.9 | 0.34 | 0.41 | 5.9 | 0.25 | 0.34 | 7.9 | 0.18 | 0.22 | 1.6 | 0.45 | 0.48 | |
2010 | 15.1 | 3.4 | 0.41 | 0.49 | 4.4 | 0.37 | 0.46 | 7.2 | 0.25 | 0.31 | 0.7 | 0.56 | 0.59 | |
Co-coverage by Medicare** | Yes | 46.5 | 70.6 | 0.51 | 0.14 | 75.3 | 0.62 | 0.16 | 60.6 | 0.29 | 0.05 | 64.0 | 0.36 | 0.09 |
Healthcare utilization covariates in baseline period** | Group | %* | %* | SMD | WCSD | %* | SMD | WCSD | %* | SMD | WCSD | %* | SMD | WCSD |
Nursing home residence, ever | Yes | 4.1 | 10.9 | 0.26 | 0.08 | 15.3 | 0.38 | 0.08 | 6.4 | 0.10 | 0.02 | 8.8 | 0.19 | 0.03 |
# Hospitalizations (continuous) | Median (Q1–Q3) | 0.0 (0.0–0.0) | 0.0 (0.0–1.0) | 0.38 | 0.18 | 0.0 (0.0–1.0) | 0.62 | 0.26 | 0.0 (0.0–0.0) | 0.08 | 0.08 | 0.0 (0.0–0.0) | 0.14 | 0.08 |
# Unique drugs dispensed (continuous) | Median (Q1–Q3) | 6.0 (2.0–10.0) | 9.0 (5.0–14.0) | 0.48 | 0.47 | 8.0 (3.0–13.0) | 0.32 | 0.39 | 7.0 (3.0–12.0) | 0.17 | 0.21 | 6.0 (2.0–11.0) | 0.10 | 0.20 |
# Ambulatory care visits without a hypoglycemia diagnosis (continuous) | Median (Q1–Q3) | 4.0 (1.0–10.0) | 7.0 (3.0–14.0) | 0.25 | 0.13 | 7.0 (2.0–13.0) | 0.15 | 0.18 | 6.0 (2.0–11.0) | 0.10 | 0.07 | 6.0 (2.0–12.0) | 0.10 | 0.07 |
Diseases in baseline period** | Group | % | % | SMD | WCSD | % | SMD | WCSD | % | SMD | WCSD | % | SMD | WCSD |
Alcohol abuse | Yes | 1.9 | 2.1 | 0.01 | 0.08 | 2.5 | 0.04 | 0.10 | 1.7 | 0.01 | 0.03 | 1.7 | 0.01 | 0.04 |
Cancer | Yes | 5.1 | 9.4 | 0.17 | 0.08 | 11.0 | 0.22 | 0.10 | 6.7 | 0.07 | 0.03 | 7.4 | 0.09 | 0.03 |
Dementia | Yes | 2.2 | 6.3 | 0.20 | 0.08 | 8.1 | 0.27 | 0.07 | 4.0 | 0.10 | 0.03 | 4.8 | 0.14 | 0.04 |
Hypoglycemia, ambulatory care visit | Yes | 0.9 | 1.6 | 0.06 | 0.06 | 2.0 | 0.09 | 0.05 | 1.3 | 0.04 | 0.03 | 1.5 | 0.05 | 0.04 |
Hypoglycemia, serious | Yes | 0.4 | 1.2 | 0.08 | 0.04 | 2.0 | 0.14 | 0.04 | 0.6 | 0.03 | 0.01 | 0.8 | 0.05 | 0.01 |
Kidney diseases | Yes | 5.3 | 22.3 | 0.51 | 0.04 | 25.5 | 0.58 | 0.05 | 13.4 | 0.28 | 0.05 | 13.8 | 0.29 | 0.04 |
Liver diseases | Yes | 6.4 | 11.1 | 0.17 | 0.10 | 11.6 | 0.18 | 0.10 | 8.4 | 0.08 | 0.03 | 7.8 | 0.06 | 0.04 |
Obesity | Yes | 10.0 | 6.7 | 0.12 | 0.14 | 6.3 | 0.14 | 0.16 | 6.2 | 0.14 | 0.06 | 6.1 | 0.14 | 0.07 |
Drugs can affect blood glucose, in 7 days prior to cohort entry** | Group | % | % | SMD | WCSD | % | SMD | WCSD | % | SMD | WCSD | % | SMD | WCSD |
Co-trimoxazole | Yes | 0.4 | 0.6 | 0.03 | 0.04 | 0.7 | 0.05 | 0.04 | 0.3 | 0.01 | 0.02 | 0.4 | 0.00 | 0.02 |
Quinolones | Yes | 0.8 | 1.7 | 0.08 | 0.06 | 1.5 | 0.06 | 0.03 | 1.1 | 0.02 | 0.02 | 1.1 | 0.03 | 0.02 |
Drugs can affect blood glucose, in 30 days prior to cohort entry** | Group | % | % | SMD | WCSD | % | SMD | WCSD | % | SMD | WCSD | % | SMD | WCSD |
Angiotensin converting enzyme inhibitors | Yes | 11.3 | 11.6 | 0.01 | 0.04 | 12.3 | 0.03 | 0.10 | 10.8 | 0.02 | 0.04 | 10.6 | 0.02 | 0.04 |
Angiotensin II receptor antagonists | Yes | 4.0 | 8.2 | 0.18 | 0.12 | 6.1 | 0.10 | 0.08 | 5.9 | 0.09 | 0.05 | 5.0 | 0.05 | 0.05 |
Antipsychotics, atypical | Yes | 8.4 | 6.9 | 0.06 | 0.09 | 6.0 | 0.09 | 0.08 | 7.1 | 0.05 | 0.05 | 6.4 | 0.08 | 0.07 |
Beta blockers | Yes | 13.2 | 18.9 | 0.15 | 0.17 | 16.5 | 0.09 | 0.11 | 14.1 | 0.02 | 0.09 | 13.1 | 0.00 | 0.09 |
Calcineurin inhibitors | Yes | 0.1 | 0.6 | 0.09 | 0.02 | 0.9 | 0.12 | 0.02 | 0.2 | 0.04 | 0.01 | 0.3 | 0.05 | 0.01 |
Corticosteroids | Yes | 3.1 | 5.4 | 0.11 | 0.13 | 5.9 | 0.14 | 0.13 | 2.9 | 0.01 | 0.05 | 2.9 | 0.01 | 0.06 |
Diuretics, thiazide | Yes | 6.3 | 4.2 | 0.09 | 0.04 | 4.0 | 0.10 | 0.03 | 4.3 | 0.09 | 0.02 | 4.3 | 0.09 | 0.03 |
Haloperidol | Yes | 0.5 | 0.4 | 0.01 | 0.03 | 0.5 | 0.00 | 0.04 | 0.4 | 0.02 | 0.01 | 0.4 | 0.02 | 0.01 |
Protease inhibitors | Yes | 0.4 | 0.2 | 0.05 | 0.00 | 0.4 | 0.01 | 0.02 | 0.6 | 0.02 | 0.01 | 0.9 | 0.06 | 0.00 |
Quinine | Yes | 0.3 | 0.9 | 0.09 | 0.04 | 0.6 | 0.05 | 0.02 | 0.6 | 0.05 | 0.01 | 0.7 | 0.06 | 0.01 |
Salicylates | Yes | 4.1 | 6.6 | 0.11 | 0.09 | 4.8 | 0.04 | 0.05 | 5.4 | 0.06 | 0.04 | 5.1 | 0.05 | 0.04 |
Q = quartile; SMD = standardized mean difference (vs. metformin); WCSD = weighted conditional standardized difference (vs. metformin)
unless otherwise noted
included in propensity score
included as a covariate in Cox proportional hazards model